多囊卵巢综合征与甲状腺疾病的研究进展  

Research Progress on Polycystic Ovary Syndrome and Thyroid Diseases

作　　者：董妍[1] 刘庆阳[2] 高天舒[2] DONG Yan;LIU Qingyang;GAO Tianshu(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中西医结合慢性病杂志》2025年第1期87-92,共6页JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE ON CHRONIC DISEASES

摘　　要：多囊卵巢综合征(polycystic ovary syndrome,PCOS)与甲状腺疾病临床表现相似,且在PCOS的患者中甲状腺疾病的发病率明显增高。PCOS患者的性激素水平、排卵功能、下丘脑-垂体-甲状腺轴功能均可被甲状腺疾病所影响,来增加自身免疫性甲状腺疾病共患病的机会,进而大大增加了PCOS患者患有甲状腺功能减退的几率,进而引起促甲状腺激素和甲状腺激素水平变化,加重PCOS的生理和病理改变。因此,通过综述PCOS与甲状腺功能异常、甲状腺自身免疫、甲状腺结节、甲状腺癌,来探讨二者之间的发生发展及其症状的可能机制,为临床治疗提供有价值的参考意义。The clinical manifestations of polycystic ovary syndrome(PCOS)are similar to thyroid disease,and the incidence of thyroid disease is significantly increased in patients with polycystic ovary syndrome.Sex hormone levels,ovulation function,and hypothalamic-pituitary-thyroid axis function in patients with PCOS can all be affected by thyroid disease,thus increasing the chance of autoimmune thyroid disease comorbidification,which greatly increases the probability of hypothyroidism in patients with PCOS,thereby causing changes in thyrotropin and thyroid hormone levels.Aggravating the physiological and pathological changes of polycystic ovary syndrome.Therefore,this article reviewed the relationship between PCOS and thyroid dysfunction,thyroid autoimmunity,thyroid nodules and thyroid cancer to explore the possible mechanism of their occurrence and development and symptoms.It is hoped that this review can provide valuable reference for clinical treatment.

关 键 词：PCOS 内分泌 甲状腺 

分 类 号：R271.44[医药卫生—中医妇科学] R588.6[医药卫生—中医学]